Individual
DR. MICHAEL THOMAS FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9 RICHLAND MEDICAL PARK DR STE 450, COLUMBIA, SC 29203
(803) 434-8800
(803) 434-8802
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
05445
GA
208600000X
Surgery Physician
55848
TN
208600000X
Surgery Physician
Primary
82845
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
828457
—
SC
Enumeration date
05/29/2012
Last updated
08/27/2019
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